Individual
AYESHA USMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2320
(570) 271-6298
(570) 271-5841
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD444696
PA
207V00000X
Obstetrics & Gynecology Physician
MT196003
PA
207VG0400X
Gynecology Physician
MD444696
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027625960001
—
PA
05
—
1027625960002
—
PA
05
—
1027625960003
—
PA
Enumeration date
07/13/2009
Last updated
08/30/2022
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